2017
DOI: 10.1016/j.ijsu.2017.06.042
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Delayed referral to specialist centre increases morbidity in patients with bile duct injury (BDI) after laparoscopic cholecystectomy (LC)

Abstract: A late referral was associated with a higher incidence of post-treatment complications, greater need for invasive procedures and a longer recovery period. These observations support the need for early patient transfer to a tertiary institution following BDI.

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Cited by 22 publications
(20 citation statements)
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“…In our study, referral time to our center after injury diagnosis had no significant impact on early complications or late biliary morbidity; despite the trend towards occurrence of significant early complications with longer time, similarly, In a multivariate analysis done by Lillemoe et al, 2000 [ 72 ], the interval until admission to a tertiary hepatobiliary center had no significant impact on the outcome. In contrast, it independently affected short- and long-term outcomes in Bansal et al, 2015 [ 36 ] study and was independent predictor of worse outcome in De Reuver et al, 2007 [ 29 ] and Martinez-Lopez et al,2017 [ 52 ] studies, also, longer delay of referral (>3 months) from index surgery was associated with poor outcome in AbdelRafee et al, 2015 [ 5 ] study.…”
Section: Discussionmentioning
confidence: 99%
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“…In our study, referral time to our center after injury diagnosis had no significant impact on early complications or late biliary morbidity; despite the trend towards occurrence of significant early complications with longer time, similarly, In a multivariate analysis done by Lillemoe et al, 2000 [ 72 ], the interval until admission to a tertiary hepatobiliary center had no significant impact on the outcome. In contrast, it independently affected short- and long-term outcomes in Bansal et al, 2015 [ 36 ] study and was independent predictor of worse outcome in De Reuver et al, 2007 [ 29 ] and Martinez-Lopez et al,2017 [ 52 ] studies, also, longer delay of referral (>3 months) from index surgery was associated with poor outcome in AbdelRafee et al, 2015 [ 5 ] study.…”
Section: Discussionmentioning
confidence: 99%
“…Most of the patients with these injuries are referred to tertiary referral centers; either immediately or after unsuccessful re-operation [ 27 , 31 , 50 ]. Higher rates of successful repair have been reported in these referral centers [ 2 , 19 , 25 , 38 , 48 , 51 , 52 ]; so, it is highly recommended for patients to be referred early to these centers [ 18 ]. Similarly, as our center is a tertiary referral hepatobiliary one, 68 of the 69 patients were referred to us from other hospitals either before the definitive procedure (66 patients) or after it (2 patients) where our long-term success rate reached 82.6%.…”
Section: Discussionmentioning
confidence: 99%
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“…Many reports have described the mechanisms and safety measures to be observed during laparoscopic cholecystectomy to prevent this catastrophe 11121314. Very few reports have discussed the occurrence of bile duct injuries occurring after open cholecystectomy, probably, due to the fewer number of open procedures being performed 491516. Open cholecystectomy is usually reserved as a salvage procedure.…”
Section: Discussionmentioning
confidence: 99%
“…Nondefinitive surgical exploration and the implementation of definitive repair surgery with inappropriate timing are ubiquitous (12,27). Moreover, delayed referral to a specialist center increases morbidity (28). In China, the evidence-based Practice Guideline for Diagnosis and Treatment of BDI was published by the Biliary Surgery Group of Surgery Branch of Chinese Medical Association, with the purpose of reducing the incidence of BDI as well as promoting its optimal diagnosis and treatment (29).…”
Section: Introductionmentioning
confidence: 99%